Individual
MR. EDWARD J. MATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
170 WILLIAMS STREET, NEW YORK, NY 10038
(212) 238-0100
Mailing address
170 WILLIAMS STREET, NEW YORK, NY 10038
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
131380-1
NY
Other
Enumeration date
04/07/2006
Last updated
10/15/2013
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